Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.80 / $2,877.00 / $4,933.00	Facility		$425.80	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.13 / $616.39 / $1,543.67	Professional		$353.13	$616.39	$1,543.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.84 / $4,991.80 / $6,763.10	Facility		$4,282.84	$4,991.80	$6,763.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $457.95 / $759.22	Professional		$81.95	$457.95	$759.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.23 / $641.08 / $2,072.19	Professional		$336.23	$641.08	$2,072.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $996.92 / $2,877.00 / $4,933.00	Facility		$996.92	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $437.81 / $1,088.20 / $1,543.67	Professional		$437.81	$1,088.20	$1,543.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $929.57 / $1,393.42	Professional		$97.24	$929.57	$1,393.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.09 / $1,322.20 / $2,018.75	Professional		$1,062.09	$1,322.20	$2,018.75